Individual provider Active NPI

Edward George Turro, O.D.

  • Optometrist
  • Bristol, CT
National Provider Identifier
1487710737
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT0951 Issued in CT
Practice address
72 Farmington Ave
Bristol, CT 06010-4216
Phone
(860) 582-8088
Fax
(860) 314-2951
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CT0951 CT Primary

Addresses

Primary practice location

72 Farmington Ave
Bristol, CT 06010-4216

Mailing address

25 Arlington Rd
West Hartford, CT 06107-1602
Phone (860) 561-5759

Other identifiers 1

IdentifierTypeStateIssuer
4051744MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CT0951CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision 2020 Eyecare, LLC Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Oculus, LLC Optometrist PastSince Apr 6, 2009 Accepting new patients

Locations

380 W Main St
Avon, CT 06001
Phone (860) 409-4565

72 Farmington Ave
Bristol, CT 06010
Phone (860) 314-2949

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1487710737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ARLINGTON RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071602",
            "telephone_number": "860-561-5759",
            "fax_number": "860-314-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104216",
            "telephone_number": "860-582-8088",
            "fax_number": "860-314-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURRO",
        "first_name": "EDWARD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT0951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4051744",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.